By Ronald G. Bercaw
Serious situation: Why swap is required NowIntroduction: the correct StormQuality of CareAccess to ServicesAffordability of Healthcare ServicesShortage of ResourcesFundamentals of ImprovementWhat Is Lean?Value-Added ActivitiesNon-Value-Added ActivitiesThemes of Lean development: non-stop ImprovementThemes of Lean development: admire for All PeopleSeven Wastes Overproduction ready Overprocessing Read more...
summary: severe : Why switch is required NowIntroduction: the best StormQuality of CareAccess to ServicesAffordability of Healthcare ServicesShortage of ResourcesFundamentals of ImprovementWhat Is Lean?Value-Added ActivitiesNon-Value-Added ActivitiesThemes of Lean development: non-stop ImprovementThemes of Lean development: admire for All PeopleSeven Wastes Overproduction ready Overprocessing stock movement Defects TransportationPrinciples of development: Lean DNA movement notion Pull approach Defect-Free paintings visible administration KaizenTools f
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Additional info for Taking Improvement from the Assembly Line to Healthcare : The Application of Lean within the Healthcare Industry
Example text
This system will flow one customer per minute through the process. The important issue is the correlation between the cycle time (2 minutes of processing per customer) and the takt time (1 minute between customers). If we take the sum of the cycle times for a process and divide it by the takt time, we can determine minimum staffing. In this case, minimum staffing = ∑cycle times ÷ takt time = 2 minutes ÷ 1 minute = 2 staff. Remember that takt time is crucial to Lean improvement. Understanding takt time is critical for appropriately staffing a work area.
Another form of inventory is waiting in your inbox. In healthcare administration, work queues up in many areas: bills waiting to be paid, charts waiting to be coded, invoices waiting to be processed and mailed, supplies waiting to be ordered, financial reports waiting to be generated. The backlog of these items constitutes a type of inventory. Motion When we speak of waste of motion by staff and providers, we are talking about movement in excess of that required to create value. One form of motion is present we walk from one area to the next looking for supplies and equipment; for example, walking an extra ten steps for sanitizer because the dispenser is not located at the point of use.
I forgot to mention that the copy machine used to make the new supply was the same machine used by the unit that requested the copies! Defects Defects create waste because work is needed to correct them. Before we get too far into the waste of defects, we need to differentiate defects and errors. Work completed by humans is subject to errors. An error is a mistake in the execution 20 ◾ Taking Improvement from the Assembly Line to Healthcare of a task. An example of an error is an inadvertent failure of a physician to sign an order for a medication.